260242 (RPL)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES
I ST FL. SQ.FT. @ UNITS
2ND FL.
POR.
GAR.
CAR P.
WALLSQ.
___dSQ.
SQ. FT. @
SQ. FT.
SQ. FT.
@ MOBILEHOME SVC.
@ "POWER OUTLET
SOFT.
@
FT.
@
ESTIMATED CONSTRUCTION
FT.
VALUATION
@
$
NOTE: Not to be used as
property
tax valuation SWIM POOL, PVT
SHOWER
MECHANICAL
FEES SWIM POOL. COMM
SQ FT @ ¢
VENT SYSTEM ❑ FAN
❑
EVAP. COOL ❑ HOOD SIGN
FURNACE ❑ UNIT ❑ WALL ❑ FLOOR D SUSPENDED
FIELD OFFICE
NO.- • PLUMBING FEES
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO), (DISH)
GARBAGE DISPOSAL
LAUNDRY TRAY
DST
AIR HANDLING UNIT
CFM
IDLE METER
KITCHEN SINK
ABSORPTION SYSTEM
0 B.T.U.
TEMP USE PERM SVC
WATER CLOSET
COMPRESSOR
HP
POLE, TEMP/PERM
LAVATORY
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
M H PERMIT FEE
SQ FT @ ¢
BATH TUB
COMMUNITY
SQ FT @ ¢
WATER HEATER
RbOMS
VALUATION
SQ FT RESID @ 1¢
SEWAGE DISPOSAL
SQ FT GARAGE @ '/a¢
HOUSE SEWER
PERMIT FEE
GAS PIPING
MOBILE HOME PERMIT FEE
$
PERMIT FEE
PERMIT FEE
PERMIT NO.TOTAL
26024
FEES
MOB. HM.FEE
MICRO FEE
MECH. FEE
DBL.
PL. CK. FEE
CONST. FEE
14*W7ELECT.
FEE
BBL?
SMI FEE
FEE
PLUMB. F
D36
J f M A M J J A S O N D
JOB ADDRESS SP NO
OWNER
74
/
�6 �� aJ I Itvi 1$.
lee, n,? ctc-
75
USE OF PERMIT yam.
�V
F.C. JDATE
PERMIO.
260242
76
w, Mtn=�-
��
M H PERMIT FEE
$
COMMUNITY
DS
UNITS
RbOMS
VALUATION
SUPP. TO PERMIT
OFFICE
MICROFILM FEE
COPIES
$
LEGAL DESCRIPTION
E �� -�A<l)t,,/f/4 rt,Gf= STs .- —PQ (te
MECHANICAL FEE
DBL
$
SET BACK
LOT SIZEZOO .ZONE
USE NO.
GRP
TYPE
CK BY
J{�
S IR
PLAN CHECK FEE
$'
BOND AMT,
PLAN NO.A�
PLAN CHECKER
FINAL DATE
INSPECTOR
in
)e� 8" a Q' 1 J
�
QKil a— A -
CONSTRUCTION FEE
-@ffE%
$
NAME OF CONST. LENDER BRANCH
OFFICE
NO LENDER INVOJLVE
ELECTRICAL FEE
$$ADDRESS
5
CITY
STATE
;(
L��d
ry
lit AP,1�
r.
STRONG MOTION
$
o # l f
CONTRACTOR
INSTRUMENTATION FEE
O -We_ l?c; G DL S
$
ADDRESS
ADDRESS
FEE
PLUMBING FEE
ARS
$ _?
2
CITY ZIP CODIE,
CITYZIP CODE
TOTAL FEES
$ `Ri
„r
7 5
TEL. NO.
"
TEL. NO. - LICENSE
d Y-
CASH ❑ CHECK , M.O. ❑ N.C. ❑
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA.
TION
RECEIVED BY
TREES REQUIRED
OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID.
�(
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC -
SEWAGE SYSTEMT
r7 Cf
CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC
LL
P
AGREE TO -CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE
.,1 .
I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS
FORM 284-208 (Rev. 10-74) &L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE
OF THE STATE OF CALIFORNIA.